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95 West Main Street
Chester, NJ 07930
908-879-5459 |
1931 Washington Valley Road
P.O. Box 550
Martinsville, NJ 08836
732-868-0101 |
NOTICE OF PRIVACY PRACTICES
This Notice describes the privacy practices of KidTherapy and the therapists and other individuals that work at or in conjunction with KidTherapy.
We are dedicated to maintaining the privacy of your medical information. In conducting our services, we will create records regarding you and/or your child(ren) and the treatment and services we provide to you. These records are our property, however we are required by law to maintain the privacy of medical and health information about you and your child(ren) and to provide you with this Notice of our legal duties and privacy practices with respect to "protected health information" as part of the Health Insurance Portability and Accountability Act (HIPAA).
I. Uses and Disclosures of Protected Health Information
KidTherapy may use your protected health information for purposes of providing treatment, obtaining payment for treatment and conducting therapeutic operations. Your protected health information may be used or disclosed only for these purposes unless we have obtained your authorization . Disclosures of your protected health information for the purposes described in this Notice may be made in writing, orally or by facsimile.
A. Treatment. We will use and disclose your protected health information to provide, coordinate, or manage your therapy services. This includes the coordination of services with a third party for treatment purposes. We may also disclose protected health information to other physicians and/or therapists who may be treating your child(ren) with respect to his/her care.
B. Payment. Your protected health information will be used, as needed, to obtain payment or reimbursement for the services that we provide. This may include certain communications to your health insurer to get approval for the treatment that we recommend. We may also disclose protected health information to your insurance company to determine benefit eligibility and/or establish medical necessity.
C. Operations. We may use or disclose your protected health information, as necessary, for our own operations in order to facilitate the function of KidTherapy and to provide quality care to all patients. Operations may include quality assessment, training programs, employee reviews, compliance assessments, business management and general administrative activities.
D. Other Uses and Disclosures. As part of treatment, payment and therapeutic operations, we may also use or disclose your protected health information in order to confirm an appointment, discuss scheduling and/or treatment options, or attempt collections. This may necessitate leaving you a detailed message on an answering machine or receiving a detailed message from you on our voice mail system.
II. Uses and Disclosures Beyond Treatment, Payment and Health Care Operations Permitted Without Authorization or Opportunity to Object
Federal privacy rules allow us to use or disclose your protected health information without your permission or authorization when legally required, when there are risks to public health, to report abuse, neglect or domestic violence, to conduct health oversight activities, for law enforcement purposes, in the event of a serious threat to health or safety, and for worker's compensation.
III. Uses and Disclosures Which You Authorize
Other than as stated above, we will not disclose your health information other than with your written authorization.
IV. Your Rights
You have the following rights:
A. The right to inspect and copy your protected health information.
B. The right to request a restriction on uses and disclosures of your protected health information.
C. The right to request to receive confidential communications from us by alternative means or at an alternative location.
D. The right to have your therapist amend your protected health information.
E. The right to receive an accounting.
F. The right to obtain a paper copy of this notice.
We encourage you to express any concerns you may have regarding the privacy of your information. You have the right to express complaints to KidTherapy and to the Secretary of Health and Human Services if you believe that your privacy rights have been violated. You may complain to KidTherapy by contacting our Privacy Officer:
Jeanne M Kraemer
KidTherapy
95 W. Main Street
Chester, NJ 07930
(908) 879-7067
This notice is effective November 4, 2009.
